Getting up in the morning and feeling the swelling of the fingers can be caused by the following reasons: First, severe ankylosing spondylitis, when ankylosing spondylitis develops to a serious stage, there can be morning stiffness and swelling of the fingers, stiffness of the symptoms, then we should check the lumbar spine X-ray film, sacroiliac joints X-ray film as well as blood tests to diagnose. Second, rheumatoid, when rheumatoid involved in the finger joints, there can be morning stiffness and swelling of the fingers, accompanied by pain in the joints, then we should check the blood test and take X-ray of the hand for early diagnosis and treatment. Thirdly, cervical spondylosis, when cervical spondylosis compresses the nerves, it can lead to vegetative nerve disorders, which leads to swelling of the fingers after waking up, and then we should check the X-ray film, CT, and MRI of the cervical spine for diagnosis and treatment.